Individual
DR. PRAVIN S SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D,
Contact information
Practice address
1400E GOLF RD 222, DES PLAINES, IL 60016-1252
(847) 391-6360
(847) 391-6360
Mailing address
1400E GOLF RD 222, DES PLAINES, IL 60016-1252
(847) 391-6360
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036055437
IL
207Q00000X
Family Medicine Physician
036055437
IL
Other
Enumeration date
07/21/2006
Last updated
07/07/2015
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